Background: Lateral premalleolar flap that is a reliable, study, and very useful to cover soft tissue defects of the distal leg, ankle, and foot but still remains underutilized and under-reported in the literature. Aims: To study the dimensions of the Lateral Premalleolar Flap that can be harvested with safety and its uses for the defects around the ankle. Materials and methods: This retrospective study is conducted for 3 years included 12 patients irrespective of sex and age between 5-70 years with soft tissue defects around the ankle joint. Various dimensions were assessed and studied.